Cross Creek Medical PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0071014FLME Issued in FL

Legal business name

CROSS CREEK MEDICAL PA

Practice address

1381 Cross Creek Cir
Suite a
Tallahassee, FL 32301-3723

Phone

(850) 877-6393

Fax

(850) 877-6393

NPI assigned

Feb 1, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wayne A Sampson, MDNPI 1306897582

Title

Medical Director

Phone

(850) 877-6393

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wayne Anthony Sampson, MD

  • Internal Medicine Physician
  • Tallahassee, FL
  • NPI 1306897582
  Medicare reassignment Authorized official
• Latomia Aikens, ARNP

  • Family Nurse Practitioner
  • Tallahassee, FL
  • NPI 1073096657
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1447438486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381A CROSS CREEK CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013729",
            "telephone_number": "850-877-6393",
            "fax_number": "850-877-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 CROSS CREEK CIR",
            "address_2": "SUITE A",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013723",
            "telephone_number": "850-877-6393",
            "fax_number": "850-877-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS CREEK MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "850-877-6393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "0071014FLME",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250984900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF9814",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003457000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hillary Nicole Cromartie, LMHC
• Nekisha Y Cromartie
• Cha'Riah Croom
• Joseph Michael Croom, PTA
• Christine Lee Crooms, FNP-C
• Cross Roads Medical Clinic
• Yolanda Denise Cross-Craig, RDMS
• Kacie Beth Cross, BSN, RN
• Kyle Cross, D.M.D.
• Susan Cross, M.D.

• Internal Medicine Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.